Nursing Project

Student’s Name

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date

Background and the Significance

The nurse turnover is undergoing rapid growth as a human resource issue affecting the healthcare sector in the entire world. The rate of nurse intervention is considered to be higher with a range of 15 to 44 percent. The management of the nurse turnover is an important aspect in the successful delivery of healthcare services to the patients. However, the poor management of the high nurse turnover is affecting the quality of service delivery in healthcare institutions. The high nurse turnover is also having a considerable effect on the overall national healthcare system performance. Nurse turnover is leading to the disruption in the operations of service operations to different degrees ranging from the fairly disruptive to very disruptive (Dewanto & Wardhani, 2018).

Based on the adverse outcomes associated with nurse turnover, there is an opportunity to address the issues that leads to nurse turnover. The managers of healthcare facilities need to ensure that focus is put on the approaches and maximize solutions concerning the causes of nurse turnover. The approaches include the prevention of resignation as a result of the new job offers, ensure that there is an existence of conducive working conditions, make sure that the unmet expectations of the new nurses are addressed, and maximization of the selection process to help in understanding the perspective of the new nurse’s expectations (Halter et al., 2017).

Statement of the problem and the purpose of the study

Nurse turnover is a major healthcare concern that affects the quality of healthcare services. It leads to a low nurse-patient ratio as a result of few nurses caring for the patients. It leads to an increase in medication errors and preventable hospital-acquired infections. This is associated with work overload which makes it hard for the nurses to adhere to other safety measures like those aimed at preventing patient falls when they are overwhelmed with the responsibilities. The purpose of the paper is therefore to determine how the methods used in the nursing staff retention are impacting the retention of the new nurses (Kurnat-Thoma et al., 2017).

Research Question

The study is guided by the research question that is based on the PICOT question that is looking at how the staff retention methods within the in-hospital nurses are implemented by the management to address the issue of retention as compared to no intervention. Therefore, the possible research question for this paper is: what are the effects of some of the nurse retention methods adopted on the reduction of nurse turnover in the in-hospital nurses’ facilities?

Research or Null Hypothesis

The study is based on the research hypothesis that staff retention methods help address the issue of nurse turnover. The null hypothesis is that nursing staff retention methods do not help address the issue of nurse turnover in healthcare facilities.

Identification and definition of the variables

The variables in this study are both dependent and independent. The dependent variable is the nurse turnover while the independent variable is the nurse retention methods being adopted and they include reduction of the overtime; elimination of the mandatory overtime; development of a shared governance program with the nurses for example having a sat on the work schedule, improvement in the workflow, and healthcare policy; and recruitment of more nursing staff and the acuity-based staffing tools.

Operationalization of the variables

The dependent variable is impacted by the independent variable. The process of addressing the nurse turnover is depending on the nurse retention approach that is adopted by the management of the healthcare facility. The success of handling the issue of nurse turnover depends on how the management is implementing the nurse retention approaches.

Dependent Variable Independent variables

Nurse Retention

· Reduction of the overtime

· Elimination of the mandatory overtime

· Development of a shared governance program

· Improvement in the workflow

· healthcare policy

· Recruitment of more nursing staff

Nurse Turnover

References

Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC nursing, 17(2), 1-7 https://doi.org/10.1186/s12912-018-0317-8

Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., … & Drennan, V. (2017). Interventions to reduce adult nursing turnover: a systematic review of systematic reviews. The open nursing journal, 11, 108.

Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—A 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712

READ the article and answer the following question

Carefully read, summarize, and appraise your group’s assigned article.  The discussion board for this week should cover the following concepts in order to have a complete draft by the end of the week. Apply the concepts discussed in the lecture and the readings.  As you provide input to your peers, be sure to state a rationale for your claims.

1. Identify and discuss the following:

· dependent variable(s) and the instrument(s) used to measure them.

· how the data for the dependent variable(s) were collected.

· the intervention and procedures for delivering it.

· the key results for the study, including any p-values, reported.

· the conclusions the researchers drew.

2. Appraise and debate the quality of the data collection methods and determine whether the conclusions of the study were supported by the statistical results.  Consider the following questions:

· Were the measurement instruments reliable and valid?  Why or why not?

· Was treatment fidelity for the intervention ensured?  Why or why not?

· Were the conclusions of the study were supported by the statistical results, as indicated by the variable values and the p-values if reported?

olicy Brief and Advocacy Letter Assignment

Building on the topic the student used for the first assignment, this assignment will require the student to write a one-page policy brief and advocacy letter to be sent to their legislator. This assignment will be worth 40% of the cumulative grade.

A policy brief is used to convince the target audience of the urgency of the current problem or policy concern and present the need to adopt the preferred alternative or course of action outlined. It is commonly produced in response to a request directly from a decision-maker (legislator) or within an organization that intends to advocate for the position detailed in the brief.

Efficient policy briefs include several common features. Those features include:

• The brief is focused. All aspects discussed are focused on achieving the intended audience to take the requested action.
• The brief is professional and not academic. The usual audience is not interested in research or analysis conducted to produce the evidence. Rather they are interested in knowing the writer’s perspective on the problem and potential solutions, based on NEW and convincing evidence.
• The brief should be evidence-based. The policy brief serves as a communication tool produced by someone with a vested interest in the policy (stakeholder), therefore the target audience will only be convinced by arguments that are supported by evidence.
• The brief should also be concise. One page documents are the ones most likely to be read by busy lawmakers and their legislative teams.
  The format of the brief should be written as a one-page single spaced document. It does not need to include a title page, running header, or abstract. However, all references in-text and the reference list MUST be in APA format.
  The policy brief should include the following components:
• An interesting title to attract the attention of the reader.
• A clear and concise statement of the problem or issue.
• A short overview of the root causes of the problem or issue.
• One to two recommendations with a least two rationales with
  supporting evidence to validate the recommendations made. Evidence should come from scholarly journals, not textbooks or

NSG505AdvLetter.PolicyBrief

1

organization web sites. Three scholarly journal articles are required

to be used.
• Finally, the conclusion with a summary of the action the brief is

requesting.

An advocacy letter is a way to influence the ideas and views of legislators or decision makers within an organization. It allows the writer to maintain contact with the legislator or decision maker, to keep the issue high on the priority list when the writer cannot meet with them personally.

The format of the advocacy letter should be written in a standard letter format. Proper title and language should be used. It should not be more than two pages long, as to increase the chances that the letter will be read by the legislator, his or her staff or decision maker. Letters maybe mailed or sent electronically.

The advocacy letter should contain the following components:

• Addressing the Letter – If the letter is concerning a Federal or State Bill or issue, it should be addressed to the Member of Congress or State Legislator who represents the student or if the issue is more local, it should be addressed to the decision makers who would be most concerned with the issue. Use the correct salutation.
• Introduction – Introduce yourself and offer a concise statement about the reason for the advocacy letter. If discussing a specific legislative bill, include the bill number.
• Health Policy Issue – In one to two paragraphs, accurately describe the issues raised, provide a clear position in favor of or opposed to, and offer specific examples of your concerns. Personal stories work well here.
• Legislative or Advocacy Recommendations – Directly ask for the action you are requesting. State why your position is important to that person and the constituents he or she is associated with.
• Closing – Develop a closing statement and provide your contact information for any follow-up questions or to act as a resource for further information.
  You can find examples of each of these in your book. Once your advocacy letter and policy brief has been reviewed by the faculty member, we encourage you to send it to the person whom your letter is addressed.

NSG505AdvLetter.PolicyBrief

Patient Safety and a Culture of Safety

A shift in paradigm is occurring across the United States from volume- to value-based care. Reflect upon your organizational culture to address the following.

• Describe the culture of your organization (hospital) as it relates to patient safety.
• Identify one opportunity to improve patient safety outcomes. Propose a strategy for the implementation of this improvement initiative.
• Describe the current technology used to support patient safety. Identify the potential unintended consequences of this technology. Propose solutions to address these potential consequences.
• Describe an incident in which patient safety was or had the potential to be compromised due to an emphasis on volume-based care.

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.